| NPI | 1518949056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A SAVIN President, O PT Ometrist 262-637-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WP0200X Optometrist Pediatrics | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-07-21 |